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Alcoholic woman hospitalized for Wernicke encephalopathy, presented with left hemiparesis, and was suspected to have stroke (non-contrast CT)

CT image in a 45-year-old alcoholic woman with a recent hospitalization for Wernicke encephalopathy who presented with left hemiparesis and was initially suspected to have had a stroke. The axial, non-contrast CT was unrevealing, as in this image at the level of the pons. (Source: Kusel K, Azzam O, Youssef A, Prentice D. Alcoholic pontine myelinolysis: beware the stroke mimic. BJR Case Rep 2021;7(4):20210005. Creative Commons Attribution license [CC BY],

Associated Disorders

  • Alcoholism
  • Extrapontine myelinolysis
  • Hyperosmolar hyperglycemic state
  • Hypokalemia
  • Malnutrition
  • Osmotic myelinolysis